Anterior Transperitoneal Laparoscopic Approach of Retroperitoneal Tumour - Clinical Case
C.C. Crăciun, L. Azamfirei, M.F. Coroş, I. Gyorgy-Fazakas, A. HinteaClinical case, no. 5, 2014
We present our personal experience in the anterior transperitoneal laparoscopic approach of a retroperitoneal tumour.The case we have in view is that of a 48-year old female patient P.V., with congenital single left kidney. The patient has aretroperitoneal tumour mass of the right flank. Followinginvestigations (ultrasound, CT with contrast), the tumourappeared well defined, of small dimensions (approximately 6-7cm diameter) and without anatomical relationships with largeretroperitoneal vessels (inferior vena cava). For the laparoscopicexcision of the tumour, we used an operating device adaptedfrom the one used in right hemi-colectomy. After the coloparietaldissection, the access into the right retroperitoneal flankby means of laparoscopy is achieved by applying our procedure.The surgical intervention was quick and of a minimally invasivenature. Postoperative evolution was favourable, without anycomplications; the patient was discharged after 48 hours. Inanatomic situations where the tumour anatomy is well definedand its size is acceptable, without dangerous anatomic relationshipswith large retroperitoneal vessels, attempted laparoscopictransperitoneal removal is the preferred option.
